From nonintubation to tubeless: redefining perioperative strategies in modern anesthesiology and thoracic surgery

Ran Zhong¹, Zihao Liu², Hui Liu², Eugenio Pompeo^{3

4}, Diego Gonzalez-Rivas⁵, Paolo A Ferrari⁶, Bassam Redwan^{7

8}, Alberto Aiolfi⁹, Luca Bertolaccini¹⁰, Gabor Kiss¹¹, Keng-Leong Ang¹², Kyung Soo Kim¹³, Jianxing He¹

Affiliations

¹ Department of Thoracic Surgery and Oncology, The Key Laboratory of Advanced Interdisciplinary Studies, National Center for Respiratory Medicine, National Clinical Research Center for Respiratory Disease, State Key Laboratory of Respiratory Disease, Guangzhou Institute of Respiratory Health, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
² Department of Anesthesiology, The Key Laboratory of Advanced Interdisciplinary Studies, National Center for Respiratory Medicine, National Clinical Research Center for Respiratory Disease, State Key Laboratory of Respiratory Disease, Guangzhou Institute of Respiratory Health, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
³ Unit of Thoracic Surgery, Department of Surgical Sciences, University of Rome Tor Vergata, Rome, Italy.
⁴ Division of Thoracic Surgery, University Hospital Policlinico Tor Vergata, Rome, Italy.
⁵ Department of Thoracic Surgery and Minimally Invasive Thoracic Surgery Unit (UCTMI), Coruña University Hospital, Coruña, Spain.
⁶ Department of Thoracic Surgery and Interventional Endoscopy, A.R.N.A.S. "G. Brotzu", Cagliari, Italy.
⁷ Department of Thoracic Surgery, Knappschaft Kliniken Lünen, Lünen, Germany.
⁸ University of Witten/Herdecke, Witten, Germany.
⁹ I.R.C.C.S. Ospedale Galeazzi - Sant'Ambrogio, Division of General Surgery, Department of Biomedical Science for Health, University of Milan, Milan, Italy.
¹⁰ Department of Thoracic Surgery, IEO European Institute of Oncology IRCCS, Milan, Italy.
¹¹ University Hospital of Saint Denis, Reunion Island, France.
¹² Department of Thoracic Surgery, Freeman Hospital, Newcastle upon Tyne, United Kingdom.
¹³ Department of Thoracic and Cardiovascular Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.

PMID: 41377267
PMCID: PMC12688940
DOI: 10.1097/MS9.0000000000004252

Editorial

From nonintubation to tubeless: redefining perioperative strategies in modern anesthesiology and thoracic surgery

Ran Zhong et al. Ann Med Surg (Lond). 2025.

. 2025 Nov 4;87(12):7930-7935.

doi: 10.1097/MS9.0000000000004252. eCollection 2025 Dec.

Authors

Affiliations

¹ Department of Thoracic Surgery and Oncology, The Key Laboratory of Advanced Interdisciplinary Studies, National Center for Respiratory Medicine, National Clinical Research Center for Respiratory Disease, State Key Laboratory of Respiratory Disease, Guangzhou Institute of Respiratory Health, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
² Department of Anesthesiology, The Key Laboratory of Advanced Interdisciplinary Studies, National Center for Respiratory Medicine, National Clinical Research Center for Respiratory Disease, State Key Laboratory of Respiratory Disease, Guangzhou Institute of Respiratory Health, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
³ Unit of Thoracic Surgery, Department of Surgical Sciences, University of Rome Tor Vergata, Rome, Italy.
⁴ Division of Thoracic Surgery, University Hospital Policlinico Tor Vergata, Rome, Italy.
⁵ Department of Thoracic Surgery and Minimally Invasive Thoracic Surgery Unit (UCTMI), Coruña University Hospital, Coruña, Spain.
⁶ Department of Thoracic Surgery and Interventional Endoscopy, A.R.N.A.S. "G. Brotzu", Cagliari, Italy.
⁷ Department of Thoracic Surgery, Knappschaft Kliniken Lünen, Lünen, Germany.
⁸ University of Witten/Herdecke, Witten, Germany.
⁹ I.R.C.C.S. Ospedale Galeazzi - Sant'Ambrogio, Division of General Surgery, Department of Biomedical Science for Health, University of Milan, Milan, Italy.
¹⁰ Department of Thoracic Surgery, IEO European Institute of Oncology IRCCS, Milan, Italy.
¹¹ University Hospital of Saint Denis, Reunion Island, France.
¹² Department of Thoracic Surgery, Freeman Hospital, Newcastle upon Tyne, United Kingdom.
¹³ Department of Thoracic and Cardiovascular Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.

PMID: 41377267
PMCID: PMC12688940
DOI: 10.1097/MS9.0000000000004252

No abstract available

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Conflict of interest statement

The authors declare no conflicts of interest.

References

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1. Riaz A, Ginimol M, Rasha R, et al. Transparency in the Reporting of Artificial Intelligence – the TITAN Guideline. Prem J Sci 2025;10:100082.
1. He J, Liu J, Zhu C, et al. Expert consensus on tubeless video-assisted thoracoscopic surgery (Guangzhou). J Thorac Dis 2019;11:4101–08. - PMC - PubMed
1. Luo K, Chen K, Li Y, et al. Clinical evaluation of laryngeal mask airways in video-assisted thoracic surgery: a meta-analysis of randomized controlled trials. J Cardiothorac Surg 2024;19:361. - PMC - PubMed
1. Wang R, Wang Q, Jiang S, et al. Spontaneous ventilation video-assisted thoracoscopic surgery for non-small-cell lung cancer patients with poor lung function: short- and long-term outcomes. Front Surg 2022;9:800082. - PMC - PubMed

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From nonintubation to tubeless: redefining perioperative strategies in modern anesthesiology and thoracic surgery

Affiliations

From nonintubation to tubeless: redefining perioperative strategies in modern anesthesiology and thoracic surgery

Authors

Affiliations

Conflict of interest statement

References

Publication types

LinkOut - more resources

Full Text Sources

Medical